CREDIT REPORT AUTHORIZATION FORM

Authorization is hereby granted to LATIN LENDING, to obtain a consumer credit report through a credit reporting agency chosen by LATIN LENDING. I understand and agree that LATIN LENDING intends to use the consumer credit report for the purposes of evaluating my financial readiness to obtain a loan.

I understand that this credit report will be retained on file at the LATIN LENDING office for use only by LATIN LENDING staff. This information will not be disclosed to anyone by LATIN LENDING without my written consent.

Furthermore, I understand that, should I choose to apply for financing through LATIN LENDING, a revised credit report costing an additional fee may be required.

My signature below authorizes the release to the credit reporting agency of financial information which I have supplied to LATIN LENDING in connection with such an evaluation. Authorization is further granted to the credit reporting agency to use photostatic reproduction of this form if required to obtain any information necessary to complete my consumer credit report.

CHECKING THE BOX BELOW GRANTS PERMISSION FOR THE RELEASE OF FINANCIAL INFORMATION TO THE CREDIT REPORTING AGENCY AND GRANTS PERMISSION FOR LATIN LENDING TO OBTAIN A COPY OF YOUR CREDIT REPORT.